BACKGROUND Iowa is a rural state. It has 99 counties and 9 Metropolitan Statistical Areas
(MSAs). Systems of mental health service organization in Iowa are county-based. Although …

This article explores the impact of managed care on community mental health outpatient
services in New York State. A survey was sent to directors of all the licensed mental health …

Whether state hospitals have a role in caring for mentally ill persons has been intensely
debated for the past decade. During this time the inpatient census of public mental hospitals …

OBJECTIVE: In 1988 a governor's commission in Oregon recommended dramatic changes
in the state's approach to public psychiatric hospitalization. To evaluate the effect of the …

In the face of the Massachusetts Governor's attempts to close one of the state's four
remaining state hospitals, Massachusetts legislators overrode the Governor's veto of funding …

In recent years, community support strategies for individuals with serious and persistent
mental illness have been questioned. Community based services have been inefficient …

What will be the future of public mental hospitals as community mental health center
programs expand? The authors suggest that their emerging role lies in joining the …

This study addresses four major questions about the delivery of community‐based mental
health services: Which target groups are benefiting from recent policy shifts? What services …

The feasibility and desirability of closing Vermont's only state hospital have been debated for
ten years. The author examines the current status of the state department of mental health's …

Acute psychiatric admission to three state and three community hospitals from the same
geographic areas were examined in terms of patient charateristics, services, and costs …